JASON R WALLACE
Optometry at Varick Way, Casselberry, FL

License number
Florida 4410
Issued Date
Sep 18, 2013
Effective Date
Mar 2, 2015
Expiration Date
Feb 28, 2015
Category
Health Care
Type
Optometry Branch Office
Address
Address 2
1921 Varick Way, Casselberry, FL 32707
3062 Dyer Blvd, Kissimmee, FL 34741
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Jason R. Wallace, O.D., PA

1921 Varick Way, Casselberry, FL 32707

Status:
Inactive
Industry:
Optometrist's Office
Registration:
Mar 24, 2008
State ID:
P08000030728
Business type:
Domestic for Profit Corporation
President,:
Jason R. Wallace President,, inactive
Agent:
Abigail E. Stanton

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